Individual
JACOB M CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
601 STATE ROUTE 664 N, LOGAN, OH 43138-8541
(740) 380-8000
Mailing address
7585 BREMEN RD SE, LANCASTER, OH 43130-9426
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA006968
OH
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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